Indiana Level Funded Group Health Plan
Indianapolis has seen the introduction of several new group health products designed for companies with between 10 and 250 employees. What makes these plans intriguing is that they are self-funded health insurance vehicles. In a traditional self-funded plan, the employer pays for its own medical claims directly. Meanwhile, a third-party administrator administers the health plan […]
Why The Health Care Reform Employee Tax Subsidies Could Cost You More
The Hill Under the new health care reform law, if an employer’s group health insurance is considered unaffordable — a cost to the employee of more than 9.5% of household income — the employee would be eligible for tax subsidies through a health insurance exchange. As the law was originally interpreted, if the employee was […]
Independent Payment Advisory Board
One of the hot topics of the recent health care reform debate was the creation of the Independent Payment Advisory Board (IPAB). The board would have the power to implement changes to reduce the growth rate of Medicare, though Congress would have the power to overrule the IPAB decisions. The Independent Payment Advisory Board would […]
How Does the Loss of Five Insurance Carriers In Indiana Affect You?
IBJ The state of Indianapolis recently lost five individual health carriers from the market. For those working in the health insurance industry, this comes as no surprise. Below are the five companies that exited and the reasons for their departures: American Community Mutual Insurance Co. American Community left Indianapolis due to insolvency. The company had […]
Bad News for Children on Medicaid and Health Care Reform.
Forbes reported on the Government Accountability Office study children on Medicaid have lower access to health care and quality. The study showed that Medicaid patients are 13% more likely to die than uninsured patients in a hospital. 66% of children covered by Medicaid were denied appointment with a specialist for an urgent medical condition. The physicians do not […]
Accountable Care Organizations
Chicago Tribune Accountable Care Organizations are starting gain traction.. Chicago looks like they have cut a deal with Anthem Blue Cross of Illinois to the ACO model in place. The ACO model is going to have physicians accountable for care. The physician will be rewarded for positive outcomes with patients. This is a huge jump […]
MLR’s Negative Effect
The Medical Loss Ratio of the Health care Reform law is having a negative effect on carriers entering or staying in new markets. What has happen is a carrier will go into a new market and that block of business is profitable. So let’s say they are operating at a 70% loss ratio. Under the […]
Mobile Technology For Health & Welleness
In the near future we will see Mobile Technology for health insurance and wellness in the from of an APP. People will have the option of downloading APP to their phone which will give them constant communication on health insurance and wellness programs. There are programs that are all ready developed like Calorie Counter. The next […]
Health Insurance Mystery Shopper
The Hill Health and Human Services have canceled their “Mystery Shopper” program. This program was to give HHS information on getting Doctor Appointments. They wanted information on how long someone would have to wait to be seen. They would call a medical practice and state they had Medicare, Medicaid, & Private Insurance to see if waiting […]
Self Funded Health Plans for Small Groups
HL-ISY.com released a study showing a trend for small groups to shift towards a self funded health insurance. The report stated groups with as few as 50 employees could find savings in the self insured market. We could see in the very near future where small employers entertaining taking on their employees medical […]
